Outcomes post-Nick's aortic root enlargement technique : single-center experience
Author
Ashry, AmrIddawela, Sashini
Mishra, Vaibhav
Wang, William
Mohammed, Heba M
Harky, Amer
Mostafa, Mohammed M
Publication date
2022-12-20
Metadata
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Background: Different techniques for aortic root enlargement (ARE) have been reported in the literature. Each technique comes with its own advantages and disadvantages. We report our outcomes of Nick's technique for ARE. Methods: A single-center retrospective data analysis of 31 patients was performed. Patients were operated between May 2015 and November 2017 at Assuit University Heart Hospital, Assuit, Egypt. Results: The median cardiopulmonary bypass time was 125 minutes (range: 90.0-160.0 minutes), with 90 minutes of cross-clamp (range: 60.0-110.0 minutes). Altogether 59% of the patients had mixed aortic valve diseases. Median intensive care unit and total hospital stay were 2 and 5 days, respectively. Patient-prosthesis mismatch was reported in one patient only (3.25%). Two patients died within 30 days. Median pressure gradient across the aortic valve was 20 mm Hg at 3 years of follow-up. Conclusion: The benefits of Nick's technique for ARE can be demonstrated in populations with younger patients and complicated pathology. Further research is required in larger patient populations.Citation
Ashry A, Iddawela S, Mishra V, Wang W, Mohammed HM, Harky A, Mostafa MM. Outcomes Post-Nick's Aortic Root Enlargement Technique: Single-Center Experience. Aorta (Stamford). 2022 Dec;10(6):274-278. doi: 10.1055/s-0042-1757800. Epub 2022 Dec 20Type
ArticleAdditional Links
https://www.thieme.com/books-main/surgery/product/4807-aortahttps://www.ncbi.nlm.nih.gov/pmc/journals/2869/
PMID
36539144Journal
AortaPublisher
Thieme Gruppeae974a485f413a2113503eed53cd6c53
10.1055/s-0042-1757800